Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Wayman

Individual provider Behavior Technician · NPI 1205594140

Mallory Wayman is a Behavior Technician in San Jose, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone: (408) 938-2113
Fax: (408) 579-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Behavior Technician Taxonomy 106S00000X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1205594140
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

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